WAYNE BRUCE GORE

LEESBURG, VA
NPI1164520029
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA  0710101151)
Enumeration Date2006-09-21
Last Update Date2007-07-08
Business Address
Mr. WAYNE BRUCE GORE MEd, CSAC
102 HERITAGE WAY NE STE 302
LEESBURG, VA 20176-4544
Phone number: 703-771-5100
Mailing Address
Mr. WAYNE BRUCE GORE MEd, CSAC
37202 BOLYN RD
PURCELLVILLE, VA 20132-4111
Phone number: 540-338-5432
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